Provider Demographics
NPI:1649338369
Name:LUND, KRISTINA R (PT)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:R
Last Name:LUND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-1648
Mailing Address - Country:US
Mailing Address - Phone:651-404-1002
Mailing Address - Fax:651-404-1199
Practice Address - Street 1:85 PLEASANT DR
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-1648
Practice Address - Country:US
Practice Address - Phone:651-404-1002
Practice Address - Fax:651-404-1199
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6927225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2444867OtherAMERICA'S PPO
MNHP71827OtherHEALTHPARTNERS
MN962871010735OtherPREFERRED ONE
MN453L1LUOtherBCBS OF MN
MN6406973OtherMEDICA